| NPI | 1104326206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA BANSER OSTERHOUT President 708-945-2082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2018-08-10 |